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psnet.ahrq.gov/node/49480/psn-pdf
May 01, 2005 - same conclusion as the case
discussants (and presumably the editors): namely, that a submitted case represents … We don’t believe that this case represents a preventable mistake or even a missed diagnosis, since, in … this tradeoff has not been formally analyzed, we believe that such an analysis would conclude that
AD represents
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psnet.ahrq.gov/node/33778/psn-pdf
March 01, 2015 - This restoration of performance represents a simple example of cognitive debiasing. … Summary
Taken together, the literature published in 2014 represents a significant advance in our thinking
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psnet.ahrq.gov/web-mm/diagnosing-diagnostic-mistakes
April 30, 2014 - same conclusion as the case discussants (and presumably the editors): namely, that a submitted case represents … We don’t believe that this case represents a preventable mistake or even a missed diagnosis, since, in … this tradeoff has not been formally analyzed, we believe that such an analysis would conclude that AD represents
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psnet.ahrq.gov/node/49449/psn-pdf
June 01, 2004 - or for further management, such as for a cerebellar infarction.(2) Rarely, as in this case,
vertigo represents … Rarely, however, vertigo represents the
presenting symptom of a cerebellar hemorrhage, which is a life-threatening
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psnet.ahrq.gov/web-mm/critical-order-set-change-and-critical-limb-ischemia
July 02, 2019 - convenient (e.g., an order set for frequently utilized laboratory tests).( 1 ) Creating order sets represents … A provider may wrongly assume that the order set content represents the best practice for a particular
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psnet.ahrq.gov/node/49850/psn-pdf
January 01, 2019 - critical-order-set-change-and-critical-limb-ischemia
https://psnet.ahrq.gov//#references
Creating order sets represents … A provider may wrongly assume that the order set content represents the best practice for a
particular
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psnet.ahrq.gov/issue/healthcare-industry-representatives-maximizing-benefits-and-reducing-risks
March 18, 2010 - Newspaper/Magazine Article
Healthcare industry representatives: maximizing benefits and reducing risks.
Citation Text:
Healthcare industry representatives: maximizing benefits and reducing risks. PA PSRS Patient Saf Advis 2006 Mar;3(1):13-19.
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…
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psnet.ahrq.gov/print/pdf/node/866984
January 01, 2020 - Team reflexivity represents the way individuals and team members collectively reflect on actions and … Team reflexivity represents the way individuals and team members collectively reflect on actions and
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psnet.ahrq.gov/node/49833/psn-pdf
June 01, 2018 - Schindler, MD
https://psnet.ahrq.gov/web-mm/perils-diagnosing-stroke
The case above represents a known … Current guidelines do not recommend MRI since it has not been shown to be cost-effective.(9)
This case represents
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psnet.ahrq.gov/web-mm/lethal-vertigo
September 20, 2011 - for further management, such as for a cerebellar infarction.( 2 ) Rarely, as in this case, vertigo represents … Rarely, however, vertigo represents the presenting symptom of a cerebellar hemorrhage, which is a life-threatening
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psnet.ahrq.gov/curated-library/interdisciplinary-teamwork
August 10, 2025 - Team reflexivity represents the way individuals and team members collectively reflect on actions... … Team reflexivity represents the way individuals and team members collectively reflect on actions and
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psnet.ahrq.gov/web-mm/how-do-providers-recover-errors
May 22, 2024 - This case unfortunately represents an all-too-common occurrence in modern medical practice. … Additional qualitative data suggest that error disclosure (and apology when appropriate) to patients represents
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psnet.ahrq.gov/node/853773/psn-pdf
September 27, 2023 - Salcedo, MD, FACS
Background
This case represents the incidence of two “never events”. … The SBAR or Situation, Background, Assessment, and Recommendation/Request tool represents a useful
starting
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psnet.ahrq.gov/node/60174/psn-pdf
March 30, 2020 - The Making Healthcare Safer Report represents an effort by the Agency for Healthcare Research and
Quality
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.218_slideshow.ppt
May 01, 2010 - *
Take-Home Points (2)
Be sure to involve multiple viewpoints in determining whether an error represents
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psnet.ahrq.gov/node/49870/psn-pdf
August 10, 2019 - patient with iron deficiency anemia.(6) It is often unclear whether a finding on one
endoscopic exam represents … with iron deficiency
anemia, because it is often unclear whether a finding on one endoscopic exam represents
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psnet.ahrq.gov/node/73200/psn-pdf
April 28, 2021 - Initial
evaluation of acid-base disorders always includes calculation of the anion gap,3 which represents … A normal AG
represents the non-bicarbonate buffers, while an elevated AG suggests abnormal accumulation
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psnet.ahrq.gov/node/49861/psn-pdf
May 01, 2019 - evidence of right
heart strain on ECG, and elevated brain natriuretic peptides (BNP) and troponin, represents … This case represents a challenging one in which clinicians made many of the right choices, but the tools
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psnet.ahrq.gov/node/49552/psn-pdf
January 01, 2008 - This case unfortunately represents an all-too-common occurrence in modern medical practice. … Additional qualitative data suggest that error disclosure
(and apology when appropriate) to patients represents
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psnet.ahrq.gov/node/49698/psn-pdf
December 01, 2013 - Polypharmacy represents a major conundrum in
managing complex older patients. … This case represents the challenges of, but also the opportunities for, improving the care of complex